| NPI | 1649253964 |
|---|---|
| Doing Business As | DEFIANCE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHAD L. PETER CEO 419-784-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2011-10-17 |